Basic processes and clinical applications of mental imagery in worry: A systematic review.

BACKGROUND: In this systematic review, we aimed to synthesise existing research on the phenomenology of mental imagery among high worriers compared to healthy individuals, and to characterise the nature and effectiveness of existing imagery-related interventions in treatment of worry. METHODS: PsycInfo, CENTRAL, EMBASE, Medline, Medline Epub, and PubMed were searched for studies examining the relationship between worry/GAD and mental imagery, or interventions using imagery in treatment of worry/GAD. We assessed study quality and used qualitative narrative synthesis to comprehensively map study results. RESULTS: The search yielded 2589 abstracts that were assessed for eligibility independently by two authors. From this, 183 full texts were screened and 50 qualitatively synthesised. Twenty-seven reported an association between worry/GAD and an aspect of mental imagery. Here, overactive negative and worry imagery, and diminished positive future imagining, were associated with worry/GAD. Twenty-three studies reported an intervention. This literature suggested mixed findings regarding efficacy, including for imaginal exposure as an independent technique for GAD. CONCLUSIONS: Findings support dysfunctional negative imagining and diminished positive prospective imagery in GAD. General imagining abilities remain intact, which is promising for efforts to utilise imagery in treatment. Further research is warranted to develop innovative clinical applications of imagery in treatment of GAD.

Coping strategies as mediators of uncertainty and psychological distress in patients with advanced cancer.

PURPOSE: Uncertainty in the context of advanced cancer diagnosis often incurs significant psychological distress. The aims were to evaluate the incidence of psychological distress upon diagnosis of advanced cancer and to analyze whether the relationship between illness uncertainty and psychological distress can be mediated by coping strategies. METHODS: A multicenter, prospective, cross-sectional study was conducted in 15 medical oncology departments across Spain. Individuals with unresectable advanced cancer completed questionnaires on uncertainty (Michel Uncertainty of Illness Scale, coping strategies (Mental Adjustment to Cancer, M-MAC), and psychological distress (Brief Symptom Inventory, BSI-18) after the diagnostic and treatment appointment and before beginning systemic cancer treatment. RESULTS: 841 patients eligible for systemic treatment with palliative intent were included between February 2020 and April 2022. A total of 71.7% had clinically significant levels of psychological distress. Univariate analyses identified that the groups with less psychological distress were male (ηp2  = 0.016), married (ηp2  = 0.006), and had a better performance status (ηp2  = 0.007). The most widely used coping strategies were positive attitude and cognitive avoidance. A positive relationship was found between uncertainty, coping strategies, and psychological distress (p < 0.05). Participants who responded with anxious preoccupation suffered more helplessness and psychological distress, while those who responded with cognitive avoidance displayed greater positive attitude and lesser psychological distress. CONCLUSION: Patients with newly diagnosed unresectable advanced cancer frequently experience psychological distress in the face of uncertainty, potentially influenced by coping strategies like cognitive avoidance.

High-trait anxious individuals show positive relationship between HRV and threat vigilance.

Selectively attending to threat-related stimuli in the environment, known as threat bias (TB), is a prominent feature of anxiety. Individuals with high anxiety also tend to show lower heart rate variability (HRV), a reflection of reduced parasympathetic cardiac control. Previous investigations have established associations between low HRV and various attentional processes that facilitate attention to threat, though these have primarily been conducted among non-anxious individuals. The current analysis, derived from a larger TB modification study, examined the relationship between TB and HRV among a young, nonclinical sample of individuals with either high or low trait anxiety (HTA, LTA, respectively; Mage  = 25.8, SD = 13.2, 61.3% female). Consistent with expectations, HTA (ß = -.18, p = .087) trended toward an association with higher threat vigilance. A significant moderation effect showed the relationship between HRV and threat vigilance was influenced by TA (ß = .42, p = .004). Simple slopes analysis revealed that for the LTA group, lower HRV trended toward higher threat vigilance (p = .123), consistent with expectations. However, this relationship was unexpectedly reversed for the HTA group, for whom higher HRV was a significant predictor of higher threat vigilance (p = .015). These results are interpreted within a cognitive control framework, in which regulatory ability, as assessed via HRV, may influence which cognitive strategy is employed when encountering threatening stimuli. Results suggest that HTA individuals with greater regulatory ability may employ a contrast avoidance mechanism, while those with reduced regulatory ability engage in cognitive avoidance.

Challenging Parenting Behaviour and Anxiety Disorders in Emerging Adulthood.

Challenging parenting behaviour (CPB) refers to parental encouragement of behaviours where children push their own limits through engaging them engage in safe risks, such as rough-and-tumble play (Bögels & Phares, 2008). Preliminary evidence suggests that CPB reduces the risk of child anxiety however, little is known about the relationship between CPB and specific forms of anxiety disorders and the factors that influence this relationship. The present study aims to examine current maternal and paternal CPB in relation to symptoms of generalised anxiety disorder (GAD) and social anxiety disorder (SAD) in emerging adulthood, and to identify whether intolerance of uncertainty (IU) and cognitive avoidance (CA) sequentially mediate this relationship. A sample of 190 UK-based adults (aged 18-25) completed a battery of online self-report measures. Greater maternal CPB, but not paternal CPB, was found to predict lower symptoms of SAD, but not GAD. IU and CA did not sequentially mediate the relationship between CPB and symptoms of GAD or SAD. This study suggests that CPB may be associated with certain forms of anxiety disorders such as SAD, but further investigation is needed to understand the mechanisms between CPB and anxiety in young people.

Characteristics of episodic future thinking in anxiety: A systematic review and meta-analysis.

Deficits in episodic future thinking (EFT) characteristics such as detail/vividness, specificity and the use of mental imagery are associated with psychopathology. However, whether these characteristics are associated with anxiety is not well understood. This article reports a systematic review and meta-analysis of research examining associations between anxiety and these EFT characteristics. Peer-reviewed studies that are published in the English language and contain at least one measure of anxiety and one measure of EFT characteristics were screened for inclusion in APAPsychINFO, CINAHL Plus and MEDLINE. Twenty-nine studies met the inclusion criteria. Results indicated that anxiety was not significantly correlated with detail/vividness overall. However, this was qualified by a moderating effect of cue valence. This finding is consistent with the Attentional Control and Contrast Avoidance Theories of anxiety, whereby higher anxiety is related to high detail/vividness in future thinking in the context of negatively-valenced cues, and conversely lower detail/vividness for positively-valenced cues. Anxiety was not significantly associated with specificity or the use of mental imagery. While heterogeneity and the low number of studies examining particular associations limited the findings, the results provide insight into the current state of the field and have both theoretical and clinical implications.

Diseño y análisis de propiedades psicométricas del Inventario de Estilos de Pensamiento en Respuesta al Cáncer (IEPRaC) / Design and psychometric properties analysis of the Thought Style in Response to Cancer Inventory (IEPRaC)

Una de las variables que ha sido definida como mediadora para la respuesta emocional ante el cáncer es el estilo de pensamiento. En contextos patológicos (por ejemplo, rumiación en depresión), y también en contextos normativos, se ha sugerido que el estilo de pensamiento puede predecir el ajuste ante un estresor. Existen instrumentos para evaluar de manera independiente los estilos de pensamiento (rumiación, evitación experiencial), pero ninguno está adaptado para población oncológica y ninguno incluye los tres estilos de pensamiento (rumiación, evitación y compromiso cognitivo). Objetivo: diseñar y estudiar las propiedades psicométricas de un instrumento que mida estilos de pensamiento en respuesta al diagnóstico oncológico. Método: Estudio instrumental, dividido en dos fases: la primera, elaboración de reactivos y jueceo de expertos y la segunda, análisis de propiedades psicométricas. Resultados: La versión final cuenta 15 ítems. La estructura interna resultó de tres factores, obtenidos a partir de un Análisis Factorial Exploratorio y corroborada mediante un Análisis Factorial Confirmatorio. Los valores de alfa de cronbach de las escalas resultaron adecuadas: la de Rumiación resultó de 0,87, la de Compromiso cognitivo de , 0,82 y de 0,72 la de evitación. Todos los ítems cuentan con evidencias de validez de contenido y propiedades psicométricas satisfactorias. La escala de Compromiso cognitivo fue la que obtuvo la puntuación media mayor y la de Rumiación mostró la menor. Conclusión: El Inventario de Estilos de Pensamiento en Respuesta al Cáncer (IEPRaC) cuenta con adecuadas propiedades psicométricas para ser utilizado en población oncológica mexicana (AU)

Thought style has been defined as one of the mediating variables to emotional response at a cancer diagnosis. It has been reported in pathological contexts (rumination in depression), but also in normative ones, it has been suggested that thought styles can predict adjustment to a stressor. There are measurement scales used to assess thought style independently (rumination, experiential avoidance), but none of them is adapted for oncologic population and none of them include all three thought styles. Aim: To design and assess psychometric properties of a scale of thought styles in response to a cancer diagnosis. Method: Instrumental Study, divided in two phases: the first, item elaboration and expert judge; the second, psychometric properties analysis. Results: Final version counts with 15 items. Intern Structure resulted in three factors, obtained by an Exploratory Factorial Analysis and corroborated by a Confirmatory Factorial Analisis. Cronbach’s alphas for the subscales resulted appropriate: for rumination 0.87, for cognitive engagement 0.82 and 0.72 for avoidance. All items have evidence for content validity and adequate psychometric properties. Results of Cognitive Engagement subscale had the higher mean and Rumination subscale was the lowest. Conclusion: Thought style in response to a cancer diagnosis scale (IERPaC) has adequate psychometric properties to be used in Mexican oncologic patients (AU)

The Event-Specific Benefits of Writing About a Difficult Life Experience.

Previous research demonstrates that writing about life's difficult moments benefits the writer cognitively and emotionally. However, it is unclear whether the benefits of writing are specific to the event written about or whether the benefits are global. This study was designed to address this issue. Participants were 120 undergraduate students who had experienced at least two difficult life events. Participants were randomly assigned into experimental and control groups. Experimental participants wrote about one of these difficult events and control participants wrote about an interesting life event of their choosing. Experimental participants reported their positive and negative emotions as well as their cognitive avoidance and intrusion concerning the event written about and another event not written about. Control participants reported their emotions and cognitions concerning two difficult life events. All participants also reported their general distress. These assessments were done immediately after writing and one week later. The results indicated that experimental participants were emotionally stronger, less upset, and less cognitively avoidant about the particular difficult life event they wrote about compared to an event they did not write about. Similar comparisons between ratings of a written-about and a not-written-about event were not significant for passion, fear, and cognitive intrusion. There was evidence for a possible indirect effect of writing on general distress through changes in event-specific cognitions and emotions. Discussion of these results focuses on how writing may specifically help change a writer's feelings and thoughts about a particular situation.

Psychometric Properties of the Dutch Cognitive Avoidance Questionnaire.

Various psychological disorders, such as major depressive disorder and anxiety disorders, share cognitive avoidance as one of the main mechanisms underlying symptom severity and maintenance. A valid and reliable measure that covers a broad array of cognitive avoidance strategies is therefore instrumental, though currently greedily missing. The Questionnaire d'Évitement Cognitif (QEC) was developed as a comprehensive instrument measuring five cognitive avoidance strategies. The current study aimed to evaluate the psychometric properties of the Dutch Cognitive Avoidance Questionnaire (CAQ-NL) in three samples (N sample 1 = 607; N sample 2 = 357; N sample 3 = 448). Confirmatory factor analysis supported the hypothesized five-factor structure of the CAQ-NL. Reliability analysis showed good to excellent internal consistency for the CAQ-NL and its five subscales. Furthermore, Multi-Group CFA revealed that the CAQ-NL demonstrated configural and metric invariance across the three samples. Convergent validity of the CAQ-NL was supported by substantial correlations with brooding, with more cognitive avoidance being related to more brooding. In addition, cognitive avoidance was negatively associated with psychological well-being and positively with symptoms of depression and anxiety, which corroborates the instrument's concurrent validity. Moreover, the CAQ-NL was predictive of depressive symptoms six months later, supporting its predictive validity. In sum, results of the present study provide support for the validity and reliability of the CAQ-NL.

How do anxious children attempt to regulate worry? Results from a qualitative study with an experimental manipulation.

OBJECTIVE: The objective of this study was to explore how anxiety-disordered children attempt to regulate their worry. DESIGN: An experimental manipulation was applied, followed by a qualitative interview. METHODS: Thirty children aged 7-13 were enrolled in this study. Each child was presented with a black mystery box, was told that shortly he/she would have to feel what was inside the box, and was then left alone for 4 min, prior to commencing the task. The purpose of the experimental manipulation was to induce slight levels of worry in the child, so that he/she could better report on worry regulation strategies. Afterwards, an interview about how the child had regulated worry during the experimental manipulation and in everyday life was undertaken. The interviews were coded using thematic analysis. RESULTS: Five main themes were uncovered. These were (1) internal regulation of worry, for example, thinking about something else and self-reassurance talk, (2) external regulation of worry, for example, behavioural avoidance and distraction, (3) perceived effect of strategies, (4) shifting between strategies, and (5) absence of a strategy. CONCLUSIONS: Our results demonstrate that anxious children use a variety of behavioural and cognitive strategies to regulate worry. They use these strategies in combination, they generally perceive them as ineffective, and they sometimes do not report any strategy for attempting to regulate their worry. These results indicate that clinicians should be curious about which strategies anxious children use to regulate their worry, how these strategies interact with each other, and how they are implemented by the child. PRACTITIONER POINTS: Using an experimental manipulation followed by an interview, this study sought to investigate how anxious children seek to regulate their worries. Anxious children attempt to regulate their worry with use of behavioural regulation strategies, such as avoidance and distraction, and with use of cognitive regulation strategies, including thinking about something else, self-reassurance talk, and thought suppression. Sometimes, however, anxious children are not able to report a regulation strategy for a specific worry episode, suggesting that they may not always have a strategy or that they lack the introspective ability to report what they did. Clinicians should be aware that anxious children may use internal (cognitive) regulation strategies while at the same time using behavioural regulation strategies, such as avoidance.

rs2572431 Polymorphism on Chromosome 8 Is Associated With Individual Differences in Anxiety Related Coping Modes.

OBJECTIVE: The role of genetic factors in the interplay between anxiety-related coping and personality has been the subject of interest in numerous previous studies. The current study focused on anxiety-related coping modes, namely repression versus sensitization (i.e., cognitive avoidance versus vigilance), and the single nucleotide polymorphism (SNP) rs2572431. An association between this SNP and anxiety-related personality traits has previously been shown in a genome wide association study, thus further investigation of the relationship between this SNP and anxiety-related coping seems warranted. METHODS: In the present study, N = 880 mostly Caucasian participants (n = 269 males and n = 611 females; mean-age: 23.88, SD = 7.19) filled in a personality questionnaire assessing individual differences in cognitive avoidance and vigilance, and all participants were genotyped for rs2572431. RESULTS: Participants homozygous for the T-allele in rs2572431 showed the highest vigilance scores in all scenarios tested. This is in line with findings from an earlier genome wide association study demonstrating that the T-allele is also associated with higher neuroticism scores. CONCLUSION: The current study yields evidence for the role of rs2572431 in the molecular genetic underpinnings of coping modes and, more broadly, for its connection with personality.

The roles of cognitive avoidance, rumination and negative affect in the association between abusive supervision in the workplace and non-clinical paranoia in a sample of workers working in France.

This study examined the relationship between abusive supervision and non-clinical paranoia and explored which cognitive mechanisms are mediating this association (i.e. rumination, cognitive avoidance and negative affect). A sample of two hundred and five French-speaking workers currently in employment in France was recruited to fill in a battery of online questionnaires comprising of the French adaptations of the Abusive Supervision Scale, the State Social Paranoia Scales, the Depression and Anxiety and Stress Scales, the Cognitive Avoidance Questionnaire and the Mini-Cambridge Exeter Repetitive Thought Scale. Mediation analyses showed that the experience of supervisory abuse directly influences state paranoia, however, there were significant mediation effects. Abusive supervision impacted on cognitive avoidance that led to more rumination, which in its turn increased negative affect and this increased state paranoia. Rumination impacted on state paranoia but through the effect of negative affect only. This study showed that abusive supervision works together with cognitive and affective factors to impact on non-clinical paranoia. It is recommended that Cognitive and Behavioural therapy (CBT) is tailored to help workers to cope with experiences of supervisory abuse and associated paranoid thoughts by focusing on replacing rumination and cognitive avoidance strategies for more adaptive cognitive strategies and on how to manage depression.

Cognitive avoidance and aversive cues related to tobacco in male smokers.

BACKGROUND: Treatment using aversive conditioning has been suggested for smoking cessation. The efficacy of this method is thought to be associated with cognitive avoidance. We compare differences in avoidance traits and patterns of associated brain activation in response to cues that induce cravings versus aversion between smokers and non-smokers. METHODS: Fifteen smokers and fifteen non-smokers completed cue reactivity tasks while undergoing functional magnetic resonance imaging (fMRI) to examine brain responses to craving-inducing cues (Cr) and aversion-inducing cues (Av). Participant avoidant traits were also assessed. RESULTS: Activation of the left frontal subcallosal gyrus in response to Cr was greater in smokers than in non-smokers. Smokers showed less activation in the right temporal lobe in response to Av than did non-smokers. Brain activation in response to Cr in the left frontal subcallosal gyrus was positively correlated with Fagerstrom Test for Nicotine Dependence (FTND) scores in smokers. Brain activation in response to Av in the right temporal lobe was negatively correlated with the Korean Version of the Cognitive Avoidance Questionnaire (KCAQ) scores in non-smokers. CONCLUSIONS: Cognitive avoidance in smokers during aversive stimulation might result in sustaining addictive behaviors. On the other hand, non-smokers may be able to emotionally confront the adverse effects of smoking.

Heterogeneity in Autonomic Arousal Level in Perseverative Worry: The Role of Cognitive Control and Verbal Thought.

One puzzle in high worry and generalized anxiety disorder (GAD) is the heterogeneity in the level of autonomic arousal symptoms seen among affected individuals. While current models agree that worry persists, in part, because it fosters avoidance of unpleasant internal experiences, they disagree as to whether worry does so by suppressing activation of autonomic arousal or by fostering persistent autonomic hyperarousal. Our Cognitive Control Model predicts that which pattern of autonomic arousal occurs depends on whether or not a worrier has sufficient cognitive control capacity to worry primarily in a verbal versus imagery-based manner. Because this model has been supported by only one study to date, the present study sought to replicate and extend that study's findings. Results from an online survey in an unselected sample of over 900 college students provide further support for our model's central tenet and initial support for its prediction that higher effortful control is associated with a higher percentage of verbal thought during worry. Finally, we report tentative evidence that autonomic arousal symptoms in worry and GAD vary as a function of individual differences in cognitive control capacity because higher capacity is linked to a greater predominance of verbal thought during worry.

An exploration of Intolerance of Uncertainty and memory bias.

BACKGROUND AND OBJECTIVES: Research suggests that individuals high in Intolerance of Uncertainty (IU) have information processing biases, which may explain the close relationship between IU and worry. Specifically, high IU individuals show an attentional bias for uncertainty, and negatively interpret uncertain information. However, evidence of a memory bias for uncertainty among high IU individuals is limited. This study therefore explored the relationship between IU and memory for uncertainty. METHODS: In two separate studies, explicit and implicit memory for uncertain compared to other types of words was assessed. Cognitive avoidance and other factors that could influence information processing were also examined. RESULTS: IUS Factor 1 was a significant positive predictor of explicit memory for positive words, and IUS Factor 2 a significant negative predictor of implicit memory for positive words. Stimulus relevance and vocabulary were significant predictors of implicit memory for uncertain words. Cognitive avoidance was a significant predictor of both explicit and implicit memory for threat words. Female gender was a significant predictor of implicit memory for uncertain and neutral words. LIMITATIONS: Word stimuli such as those used in these studies may not be the optimal way of assessing information processing biases related to IU. In addition, the predominantly female, largely student sample may limit the generalizability of the findings. CONCLUSIONS: Future research focusing on IU factors, stimulus relevance, and both explicit and implicit memory, was recommended. The potential role of cognitive avoidance on memory, information processing, and worry was explored.

Does cognitive avoidance mediate the relation of anxiety and binge eating?

PURPOSE: Theory suggests that binge eating symptoms may develop in an attempt to avoid distressing states that arise in the context of negative affect. In light of its theoretical significance, including the "escape from awareness" model of binge eating, surprisingly few empirical evaluations have examined the empirical evidence for this variable in relation to anxiety and binge eating symptoms. In addition, although it is understood that anxiety is more prevalent among women than men, empirical investigations of gender differences in cognitive avoidance in binge eating are thus far absent from the published literature. METHODS: Participants (N = 436) were recruited from diverse geographic regions across the United States to take part in an online study. Cognitive avoidance, anxiety, and binge eating measures were collected. RESULTS: Cognitive avoidance partially mediated the relation between anxiety and binge eating in the full sample; however, results differed across genders. Specifically, cognitive avoidance was a mediator for women, but not for men. CONCLUSIONS: Findings support the "escape from awareness" model of binge eating among women, and suggest that targeting cognitive avoidance in binge eating treatment may be a promising clinical avenue. Future research may benefit from exploring the broader construct of experiential avoidance to determine if the gender differences in cognitive avoidance observed in this study are indicative of a larger pattern of avoidance behavior, and if factors other than cognitive avoidance may have greater relevance for men.

Distress intolerance and worry: the mediating role of cognitive variables.

BACKGROUND AND OBJECTIVES: Distress intolerance (DI) has been identified as a potential risk factor for a variety of maladaptive avoidance behaviors, including worry. However, mechanisms linking DI to specific behaviors remain poorly understood. One hypothesis is that DI is a general vulnerability that confers risk of particular avoidance behaviors via more specific, lower-order vulnerabilities. The current study examined associations between DI and worry-related cognitions. DESIGN: A multiple mediator model tested the hypothesis that worry-related variables (intolerance of uncertainty [IU], cognitive avoidance, beliefs about worry, and negative problem orientation) mediated the association between DI and worry. METHODS: An undergraduate student (n = 281) and a clinical (n = 123) sample completed self-report measures. RESULTS: Across samples, worry was associated with higher levels of DI, IU, cognitive avoidance, beliefs about worry, and negative problem orientation. Mediation results differed somewhat between the two samples. In the undergraduate sample, IU, negative beliefs about worry, and positive beliefs about worry mediated the association between DI and worry. In the clinical sample, negative problem orientation and negative beliefs about worry mediated the association between DI and worry. CONCLUSIONS: Results provide initial evidence that DI may be associated with worry via unique risk factors.

Worry as an adaptive avoidance strategy in healthy controls but not in pathological worriers.

The cognitive avoidance model of worry assumes that worry has the adaptive function to keep under control the physiological arousal associated with anxiety. This study aimed to test this model by the use of a fear induction paradigm in both pathological and healthy individuals. Thirty-one pathological worriers and 36 healthy controls accepted to be exposed to a fear induction paradigm (white noise) during three experimental conditions: worry, distraction, and reappraisal. Skin conductance (SCR) and heart rate variability (HRV) were measured as indices of sympathetic and parasympathetic nervous system functioning. Worriers showed increased sympathetic and decreased parasympathetic activation during the worry condition compared to non-worriers. There were no differences between groups for the distraction and reappraisal conditions. SCRs to the white noises during worry were higher in worriers versus controls throughout the entire worry period. Intolerance of uncertainty - but not metacognitive beliefs about worry - was a significant moderator of the relationship between worry and LF/HF-HRV in pathological worriers. Results support the cognitive avoidance model in healthy controls, suggesting that worry is no longer a functional attitude when it becomes the default/automatic and pathological response.

The neural correlates of worry in association with individual differences in neuroticism.

The tendency to worry is a facet of neuroticism that has been shown to mediate the relationship between neuroticism and symptoms of depression and anxiety. The aim of the current study was to investigate the neural correlates of state worry in association with neuroticism. One-hundred twenty participants were selected from an initially recruited sample of 240 women based on their neuroticism score. First, participants completed a questionnaire to assess the excessiveness and uncontrollability of pathological worry. Second, we measured brain activation with functional magnetic resonance imaging (fMRI) while participants were randomly presented with 12 worry-inducing sentences and 12 neutral sentences in a mood induction paradigm. Individuals scoring higher on neuroticism reported to worry more in daily life and to have generated more worry-related thoughts after the presentation of a worry-inducing sentence. Furthermore, imaging results showed the involvement of default mode and emotional brain areas during worry, previously associated with self-related processing and emotion regulation. Specifically, cortical midline structures and the anterior insula showed more activation during worry, when individuals indicated to have generated more worry-related thoughts. Activation in the retrosplenial and visual cortex was decreased in individuals scoring higher on neuroticism during worry, possibly suggesting reduced autobiographical specificity and visual mental imagery. In the literature, both these processes have been related to the cognitive avoidance of emotional distress. Excessive worry features in a number of emotional disorders and results from studies that elucidate its neural basis may help explain how and why neuroticism contributes to vulnerability for psychopathology.

Regulación emocional en pacientes con trastornos de ansiedad: un estudio comparativo con una muestra comunitaria / Emotion regulation in patients with anxiety disorders: a comparative study with a community sample

Según modelos psicopatológicos recientes el desarrollo y mantenimiento de los trastornos de ansiedad (TA) se relacionaría con el uso de estrategias de regulación emocional desadaptativas. El estudio comparó el uso de estrategias de regulación emocional para afrontar emociones displacenteras en un grupo de 62 pacientes con TA y uno integrado por 61 controles (GC). No se hallaron diferencias en el uso de las estrategias de aproximación cognitiva. Comparados con el GC, los pacientes con TA utilizaron en mayor medida estrategias de Evitación Cognitiva, Resignación-Aceptación, Descarga Emocional y Búsqueda de apoyo; a la vez que emplearon en menor medida estrategias de Resolución de Problemas. Para el grupo ansioso, las estrategias de Resignación-Aceptación, Descarga Emocional y Análisis Lógico correlacionaron positivamente con todas las medidas de severidad sintomatológica, mientras que la Revaloración positiva lo hizo negativamente. En vista de los resultados, se discuten sus implicaciones para el desarrollo de nuevos protocolos de tratamiento.

According to current psychopathological models development and maintenance of anxiety disorders (AD) would be related to the use of maladaptive emotion regulation strategies. The study compared the use of emotional regulation strategies to cope with unpleasant emotions in a group of 62 patients with AD and one composed by 61 controls (CG). No di f ferences were found between groups regarding use of cognitive approximation strategies. Compared with control group patients with AD reported a greater tendency to engage in Cognitive Avoidance, Resignation-Acceptance, Emotional discharge and Support Seeking strategies. In turn, AD patients were less prone to use Problem Solving strategies. For AD group Resignation-Acceptance, Emotional discharge and Logical Analysis strategies were positively correlated to all symptomatology measures while Positive Revaluation strategy did negatively. In view of the results their implications for the development of new treatment protocols are discussed.

Regulación emocional en pacientes con trastornos de ansiedad: un estudio comparativo con una muestra comunitaria / Emotion regulation in patients with anxiety disorders: a comparative study with a community sample

Según modelos psicopatológicos recientes el desarrollo y mantenimiento de los trastornos de ansiedad (TA) se relacionaría con el uso de estrategias de regulación emocional desadaptativas. El estudio comparó el uso de estrategias de regulación emocional para afrontar emociones displacenteras en un grupo de 62 pacientes con TA y uno integrado por 61 controles (GC). No se hallaron diferencias en el uso de las estrategias de aproximación cognitiva. Comparados con el GC, los pacientes con TA utilizaron en mayor medida estrategias de Evitación Cognitiva, Resignación-Aceptación, Descarga Emocional y Búsqueda de apoyo; a la vez que emplearon en menor medida estrategias de Resolución de Problemas. Para el grupo ansioso, las estrategias de Resignación-Aceptación, Descarga Emocional y Análisis Lógico correlacionaron positivamente con todas las medidas de severidad sintomatológica, mientras que la Revaloración positiva lo hizo negativamente. En vista de los resultados, se discuten sus implicaciones para el desarrollo de nuevos protocolos de tratamiento.(AU)

According to current psychopathological models development and maintenance of anxiety disorders (AD) would be related to the use of maladaptive emotion regulation strategies. The study compared the use of emotional regulation strategies to cope with unpleasant emotions in a group of 62 patients with AD and one composed by 61 controls (CG). No di f ferences were found between groups regarding use of cognitive approximation strategies. Compared with control group patients with AD reported a greater tendency to engage in Cognitive Avoidance, Resignation-Acceptance, Emotional discharge and Support Seeking strategies. In turn, AD patients were less prone to use Problem Solving strategies. For AD group Resignation-Acceptance, Emotional discharge and Logical Analysis strategies were positively correlated to all symptomatology measures while Positive Revaluation strategy did negatively. In view of the results their implications for the development of new treatment protocols are discussed.(AU)